<div class="layuimini-container">
    <form id="app-form" class="layui-form layuimini-form">
        
        <div class="layui-form-item">
            <label class="layui-form-label">门店id</label>
            <div class="layui-input-block">
                <input type="text" name="store_id" class="layui-input" lay-verify="required" placeholder="请输入门店id" value="{$row.store_id|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">问题反馈</label>
            <div class="layui-input-block">
                <input type="text" name="info" class="layui-input"  placeholder="请输入问题反馈" value="{$row.info|default=''}">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label">0待解决1已解决</label>
            <div class="layui-input-block">
                <input type="text" name="status" class="layui-input"  placeholder="请输入0待解决1已解决" value="{$row.status|default=''}">
            </div>
        </div>
        <div class="hr-line"></div>
        <div class="layui-form-item text-center">
            <button type="submit" class="layui-btn layui-btn-normal layui-btn-sm" lay-submit>确认</button>
            <button type="reset" class="layui-btn layui-btn-primary layui-btn-sm">重置</button>
        </div>

    </form>
</div>